Active NPI
Doneta Wilson, APRN
- Adult Health Nurse Practitioner
- Coral Springs, FL
National Provider Identifier
1043874811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11002557
- Practice address
- 1515 N University Dr Ste 217
Coral Springs, FL 33071-8933 - Phone
- (305) 931-7424
- NPI assigned
- Apr 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 9275062 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11002557 | FL | Primary |
Addresses
Primary practice location
1515 N University Dr Ste 217
Coral Springs, FL 33071-8933
Mailing address
1380 NE Miami Gardens Dr Ste 210
North Miami Beach, FL 33179-4709
Phone (305) 931-7424
Other names 1
- Doneta Todd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9275062 | FL | MD | Medical-Surgical Registered Nurse |
| APRN11002557 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Health Medical, Inc | Current | Accepting new patients |
Locations
1515 N University Dr
Ste 217
Coral Springs, FL 33071
Phone (305) 931-7424
1380 NE Miami Gardens Dr
Ste 210
North Miami Beach, FL 33179
Phone (305) 692-9009
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IJCGBD/Endpoint/IJCGBD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- North Miami Beach, FL
- NPI 1770156838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1043874811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 NE MIAMI GARDENS DR STE 210",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331794709",
"telephone_number": "305-931-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N UNIVERSITY DR STE 217",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330718933",
"telephone_number": "305-931-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DONETA",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-27",
"last_updated": "2023-07-11",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "FL",
"license": "9275062",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11002557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DONETA",
"last_name": "TODD",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.